Influence of Anxiety on Non Adherence to Tuberculosis Treatment among Tb Patients in Selected Chest Clinics in Mombasa County, Kenya

Abstract

Purpose. The aim of this study was to determine the influence of anxiety on Non adherence to tuberculosis treatment among Tb patients in selected chest clinics in Mombasa County, Kenya. Methodology. The study adopted correlation research design as guided by the hypothesis that anxiety had an effect on Nonadherence to tuberculosis treatment. It was conducted in Mombasa County, Kenya in 3 selected Chest clinics. All tuberculosis patients were the target population. Convenience sampling was used to identify those registered and on active treatment while simple random sampling was used for those who accepted to participate in the study. Data collection was done using questionnaires that had both open and close ended questions. Descriptive statistics helped in data analysis which were then presented using frequencies, percentages and tables. Results. 312 respondents were interviewed, 91% reported that anxiety affected their Tb treatment. 75% of them reported that side effects of the Tb medicines were the reason they had anxiety, 16.3% said the long duration of therapy while 8.7% stated that misinformation was the cause. 17.3% of respondents with severe anxiety had moderate Nonadherence to their Tb treatment. Summary, Conclusion and Recommendation. From the result the study noted that the two most common triggers of anxiety in tuberculosis patients were Side effects and the long duration of treatment. It was noted there exists a relationship between anxiety and Non adherence but the association was not significant as indicated by chi-square (X2(4, 312) = [2.532], p = [p=.639]). Screening and assement of patients on long term treatment would be needful in helping manage comorbidities.